Commercial Loan Application
I. Applicant Information
Applicant
*
First Name
Last Name
SSN
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Borrowing Entity
Tax ID No.
Year Established
Year entity was established in.
State Established
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Type of Entity
*
Corporation
Partnership
Proprietorship
LLC
Individual
Trust
Association
If checked, more than one member/owner of borrowing entity
Project Street Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Information
II. Loan Request
Loan Amount Requested
*
Type of Loan
Purchase
Refinance
Construction Loan
Renew/Increase Existing Loan
Collateral Offered
*
Total Collateral Value
Collateral Owner (If different than borrower)
Current Lein (bank) Holder Name
Insurance Co/Agent
Agent Phone Number
-
Area Code
Phone Number
Policy Dates
Type Of Coverege
III. Guarantor Information
Choose the appropriate selection that describes your relationship to the loan application.
*
Guarantor
Co-borrower
% Owner
Name
Position In Company/ Title
President
Treasurer
Secretary
Managing Member
Member
Not A Member
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
DOB
-
Month
-
Day
Year
Date
Email
*
example@example.com
IV. Financial Information
Tax Returns Filed Through:
-
Month
-
Day
Year
Date
Are any returns being contested or audited:
Yes
No
If Yes, please describe:
Accountant or Accounting Firm:
Attorney or Law Office
Signature
As part of a loan application submission, I grant Coastal Realty Capital, LLC DBA Maine Capital Group permission to pull a credit report. I also authorize Coastal Realty Capital, LLC, DBA Maine Capital Group to release this info to other lenders or third party vendors.
Clear
Submit
Should be Empty: